Organization
F. DANIEL JACKSON, MD, PA T/A THE IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. F DANIEL JACKSON M.D. (PRESIDENT)
(301) 759-3817
Entity
Organization
Contact information
Practice address
715 WILLIAMS ST, CUMBERLAND, MD 21502-6390
(301) 759-3410
(301) 759-3522
Mailing address
PO BOX 1692, CUMBERLAND, MD 21501-1692
(301) 759-3817
(301) 759-3286
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
01-01-22
MD
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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